EP3492035A3 - Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle - Google Patents

Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle Download PDF

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Publication number
EP3492035A3
EP3492035A3 EP19152096.4A EP19152096A EP3492035A3 EP 3492035 A3 EP3492035 A3 EP 3492035A3 EP 19152096 A EP19152096 A EP 19152096A EP 3492035 A3 EP3492035 A3 EP 3492035A3
Authority
EP
European Patent Office
Prior art keywords
radial layer
medical device
device including
elongate medical
ring electrode
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP19152096.4A
Other languages
English (en)
French (fr)
Other versions
EP3492035B1 (de
EP3492035A2 (de
Inventor
Zachary Lee HELGESON
Alexander Carson HOUCK
John Son HER
Salome A. Gonzalez
Somally MOM
Brian Michael MONAHAN
Neil David HAWKINSON
James Reginald NIGG
James Clayton MARRS
Xuan Yen Khieu
Troy Terrance Tegg
Jill LAFAVOR
Israel A. Byrd
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
St Jude Medical Cardiology Division Inc
Original Assignee
St Jude Medical Cardiology Division Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by St Jude Medical Cardiology Division Inc filed Critical St Jude Medical Cardiology Division Inc
Publication of EP3492035A2 publication Critical patent/EP3492035A2/de
Publication of EP3492035A3 publication Critical patent/EP3492035A3/de
Application granted granted Critical
Publication of EP3492035B1 publication Critical patent/EP3492035B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
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    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
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    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
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    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
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    • A61M25/0013Weakening parts of a catheter tubing, e.g. by making cuts in the tube or reducing thickness of a layer at one point to adjust the flexibility
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    • AHUMAN NECESSITIES
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    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • AHUMAN NECESSITIES
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
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    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • AHUMAN NECESSITIES
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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    • A61B2018/1467Probes or electrodes therefor using more than two electrodes on a single probe
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    • A61B18/14Probes or electrodes therefor
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    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
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    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6859Catheters with multiple distal splines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices
    • A61M25/0147Tip steering devices with movable mechanical means, e.g. pull wires

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Robotics (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
EP19152096.4A 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle Active EP3492035B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201461936677P 2014-02-06 2014-02-06
EP15705753.0A EP3089688B1 (de) 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle
PCT/US2015/014254 WO2015119946A1 (en) 2014-02-06 2015-02-03 Elongate medical device including chamfered ring electrode and variable shaft

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
EP15705753.0A Division EP3089688B1 (de) 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle
EP15705753.0A Division-Into EP3089688B1 (de) 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle

Publications (3)

Publication Number Publication Date
EP3492035A2 EP3492035A2 (de) 2019-06-05
EP3492035A3 true EP3492035A3 (de) 2019-09-25
EP3492035B1 EP3492035B1 (de) 2022-10-05

Family

ID=52544580

Family Applications (2)

Application Number Title Priority Date Filing Date
EP15705753.0A Active EP3089688B1 (de) 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle
EP19152096.4A Active EP3492035B1 (de) 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle

Family Applications Before (1)

Application Number Title Priority Date Filing Date
EP15705753.0A Active EP3089688B1 (de) 2014-02-06 2015-02-03 Längliche medizinische vorrichtung mit abgeschrägter ringelektrode und variabler welle

Country Status (6)

Country Link
US (3) US11051878B2 (de)
EP (2) EP3089688B1 (de)
JP (2) JP6246383B2 (de)
CN (1) CN105960213B (de)
CR (1) CR20160381A (de)
WO (1) WO2015119946A1 (de)

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WO2018236754A1 (en) * 2017-06-19 2018-12-27 St. Jude Medical, Cardiology Division, Inc. HIGH DENSITY DETECTION AND ABLATION DEVICES DURING MEDICAL INTERVENTION
CN110831653B (zh) 2017-06-28 2021-12-17 奥瑞斯健康公司 器械***补偿
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CN110996829B (zh) * 2017-07-21 2023-11-21 直观外科手术操作公司 柔性细长装置***和方法
US10145747B1 (en) 2017-10-10 2018-12-04 Auris Health, Inc. Detection of undesirable forces on a surgical robotic arm
JP7362610B2 (ja) 2017-12-06 2023-10-17 オーリス ヘルス インコーポレイテッド コマンド指示されていない器具の回動を修正するシステムおよび方法
WO2019118767A1 (en) 2017-12-14 2019-06-20 Auris Health, Inc. System and method for estimating instrument location
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CN105960213B (zh) 2020-07-07
US20160346038A1 (en) 2016-12-01
WO2015119946A1 (en) 2015-08-13
EP3492035B1 (de) 2022-10-05
CR20160381A (es) 2016-10-31
EP3089688B1 (de) 2019-03-27
JP2018064947A (ja) 2018-04-26
US20210369342A1 (en) 2021-12-02
US11051878B2 (en) 2021-07-06
JP6666891B2 (ja) 2020-03-18
US11690670B2 (en) 2023-07-04
EP3492035A2 (de) 2019-06-05
CN105960213A (zh) 2016-09-21
EP3089688A1 (de) 2016-11-09
JP2017507699A (ja) 2017-03-23
JP6246383B2 (ja) 2017-12-13

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